Majestic Care of Toledo SNF

Name: Majestic Care of Toledo SNF
Address: 131 NORTH WHEELING STREET, Toledo, OH, 43605, US
Telephone: 4196930751

131 North Wheeling Street, Toledo, OH 43605 · Lucas County · 85 certified beds · avg 80 residents/day · certified since Feb 10, 2000

Part of chain: MAJESTIC CARE (22 facilities, chain avg rating 2.5★)

4/5

Health inspection rating (on-site)

Serious findings on record

$22,432

Fines, last 3 years

3.08

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Oct 19, 2023 · F-0686

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Nov 14, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (25)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 28, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Sep 25, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Sep 25, 2025	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Sep 25, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Oct 19, 2023	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Oct 19, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 19, 2023	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 19, 2023	F · Potential for harm, facility-wide	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
May 27, 2021	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 27, 2021	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
May 27, 2021	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
May 27, 2021	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
May 27, 2021	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 27, 2021	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
May 27, 2021	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
May 27, 2021	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
May 27, 2021	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (12 → 3).

Year	Citations	Serious (G–L)	Worst severity that year
2021	9	0	F
2023	12	1	G ▲
2025	3	0	D
2026	1	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $22,432.

Date	Type	Amount / length
Oct 19, 2023	Fine	$22,432

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Ohio avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.08	3.45	3.95	bottom 31% in Ohio; bottom 17% in the U.S.
Registered Nurse hours	0.38	0.60	0.69	bottom 17% in Ohio; bottom 19% in the U.S.
Weekend total nurse staffing	2.60	3.07	3.50	bottom 19% in Ohio; bottom 12% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.22	0.42	0.48	bottom 11% in Ohio; bottom 15% in the U.S.
Total nursing staff turnover (%)	45.2	48.7	45.8	top 41% in Ohio; bottom 49% in the U.S.
RN turnover (%)	37.5	43.9	42.9	top 39% in Ohio; top 42% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.15, RN 0.39, weekend 2.65. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Majestic Care of Toledo Operations Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	12/17/2021
131 North Wheeling Street LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2022
131 North Wheeling Street LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/17/2021
Chamberlain, Margaret	Individual	Operational/Managerial Control	NOT APPLICABLE	09/11/2023
Chamberlain, Margaret	Individual	ADP of the SNF	NOT APPLICABLE	09/11/2023
Majestic Care of Toledo Realty Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/17/2021
Majestic Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/17/2021
Majestic Management LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/11/2025
Marx, David	Individual	ADP of the SNF	NOT APPLICABLE	12/17/2021
MDG Real Estate Global Limited	Organization	ADP of the SNF	NOT APPLICABLE	12/17/2021
Polisetty, Sudheer	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Polisetty, Sudheer	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Pruitt, Paul	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2023
Pruitt, Paul	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2023
Pruitt, Paul	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2023
Rewa, Angela	Individual	Operational/Managerial Control	NOT APPLICABLE	10/23/2023
Rewa, Angela	Individual	ADP of the SNF	NOT APPLICABLE	10/23/2023
Russell, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	04/08/2024
Russell, Robert	Individual	ADP of the SNF	NOT APPLICABLE	04/08/2024
Shatrov, Anzhelika	Individual	Operational/Managerial Control	NOT APPLICABLE	12/02/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"How do you keep residents' medical records accurate, complete, and secure?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Arbors at Oregon	1.3 mi	Oregon, OH	★★☆☆☆	1/5
Orchard Villa	1.6 mi	Oregon, OH	★★★★☆	3/5
Ayden Healthcare of Oregon	2.0 mi	Oregon, OH	★★☆☆☆	1/5
The Gardens of St. Francis	3.3 mi	Oregon, OH	★★★☆☆	3/5
Majestic Care of Point Place	5.3 mi	Toledo, OH	★☆☆☆☆	1/5
Merit House LLC	5.3 mi	Toledo, OH	★★☆☆☆	1/5
Advanced Healthcare Center	6.0 mi	Toledo, OH	★★★★☆	3/5
Park Terrace Rehabilitation Center	6.4 mi	Toledo, OH	★☆☆☆☆	1/5
Majestic Care of Perrysburg	6.5 mi	Perrysburg, OH	★★☆☆☆	1/5
Ayden Healthcare of Toledo	6.7 mi	Toledo, OH	★★☆☆☆	1/5
Divine Rehabilitation and Nursing at Toledo	7.2 mi	Toledo, OH		—/5	abuseSFF
Hickory Ridge of Temperance	7.4 mi	Temperance, MI	★★★★☆	4/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 366188.

The Care File

Visit checklist — Majestic Care of Toledo SNF

131 North Wheeling Street, Toledo, OH 43605 · 4196930751

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $22,432

Most serious findings on record:

▲ Oct 19, 2023 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 366188 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)